In today’s fast-paced world, urgent care centers play an essential role – in delivering timely medical treatment for non-life-threatening conditions for many patients. In fact, in a very short period of time, these urgent care facilities have increasingly become the go-to option for patients seeking prompt care. Therefore, leading to the need for more accurate medical billing and coding for urgent care centers for efficient billing and secure timely reimbursements, this can be quite challenging for many.
Challenges associated with managing urgent care billing and coding operation:
Today 85% of urgent care providers are face problems in managing seamless urgent care billing transactions, especially with the rising demand and faster approach making the operation furthermore difficult for many.
One of the primary challenges in urgent care billing and coding is the appropriate selection of evaluation and management (E/M) codes. E/M codes are used to describe the level of complexity and extent of the physician’s work during a patient visit. Due to the varied nature of patient encounters in urgent care centers, coders not only get confused but end up making errors.
This is why it is essential for coders to possess a thorough understanding of the E/M coding guidelines to avoid undercoding or overcoding; reducing the risk of financial losses or compliance risks.
Another common issue faced by urgent care centers is the inappropriate use of modifiers. Modifiers provide additional information about a procedure, treatment, or diagnostic service, thereby allowing for more accurate coding and billing. In the context of urgent care, the proper use of modifiers such as -25 (Significant, Separately Identifiable E/M Service by the Same Physician on the Same Day of the Procedure or Other Service) and -59 (Distinct Procedural Service) is crucial. Thus, failure to apply these modifiers correctly may result in denied claims and delays in reimbursement.
Furthermore, with a higher volume of ancillary services like radiology, laboratory, and point-of-care testing managing all its billing and coding accurately can be quite a struggle and at times causing delayed reimbursement.
Issues with urgent care billing in fact do not end here as billers often lack complete updated regulations news causing compound challenges – error and chaos. Thus, staying updated with the frequent changes in the Current Procedural Terminology (CPT), present industry mandates as well as the International Classification of Diseases (ICD) coding systems the coding challenges for seamless urgent care billing operation.
This is why you need a professional support and assistance like Sunknowledge Services Inc.
Sunknowledge – Unlocking the Secrets of Efficient Urgent Care Coding:
Catering to the needs of urgent care centers and facilities, Sunknowledge for the last 15+ years has been delivering state of art solutions to many leading names in the industry. Ensuring accurate coding and documentation which are quite essential for compliance with healthcare regulations, Sunknowledge is complete HIPAA compliance reducing your chances of fraud and phony eliminating severe penalties, including fines and even exclusion from federal healthcare programs.
With a team of certified medical coders and billers being well-versed in the intricacies of E/M coding, modifiers, and ancillary services coding, Sunknowledge not only ensures that your urgent care center’s billing process runs smoothly and efficiently but also helps in coding all your billing gaps faster and effectively. Being updated with the latest changes in coding systems and regulatory guidelines to maintain a seamless billing transaction and minimize the risk of audits, by partnering with Sunknowledge, you further get time to focus on delivering quality patient care as the expert handles the complexities of coding and billing.
In short, Sunknowledge is an end-to-end revenue cycle management service designed to optimize your financial performance, reduce claim denials, and expedite reimbursements.
So what are you waiting for? As a leading provider of healthcare revenue cycle management solutions, Sunknowledge has extensive experience and expertise in urgent care billing and coding serving all clients at a cost effective rate of $7 without compromising on the billing standard and productivity metrics.
Making a difference in your urgent care billing and coding processes, the expert is known for improving operational efficiency and financial health in no time. For more information get in touch with the expert now!
Sunknowledge Services Inc. – an ISO 27001:2022 certified, American-owned & operated company, headquartered in New York City – is a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain.
